Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 211386 | TX |
NPI | 1023572385 |
---|---|
Provider Name | Sharon Harper |
First Address | Silsbee, TX 77656-3836 |
Second Address | Silsbee, TX 77656-5014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2019 |
Last Update Date | 30/01/2019 |